Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ann Marie Clack, WHNP

Individual provider Maternal Newborn Registered Nurse · NPI 1023689486

Ann Marie Clack, WHNP is a Nurse Practitioner in Monroe, Louisiana. Qualified in 2020, 6 years ago. Practices with LSU Health Sciences Center Shreveport Faculty Group Practice, a 569-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
6
Licensed in
LA
In the registry since
2021
Specialties on file
2
What do these letters mean?
WHNP — Women's Health Nurse Practitioner
A nurse practitioner specialising in women's health.

See every abbreviation used in this directory →

Practice location Address checks out

4864 Jackson St
Monroe, LA 71202-6400
Phone: (318) 330-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 214452 (LA)
Maternal Newborn Registered Nurse Taxonomy 163WM0102X · Licence RN122544 (LA)

Record details

NPI number1023689486
Entity typeIndividual (Type 1)
GenderFemale
Credentials WHNP
Sole proprietorNo
NPI enumeratedJuly 7, 2021
Last updated in NPPESOctober 6, 2021
Certification dateOctober 6, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Lsu Health Sciences Center Shreveport Faculty Group Practice — 569 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount